The Homoeopathic Multi Speciality Hospital
Changanacherry – 1, KERAL, S.INDIA
Case No.7
CASE RECORD
Reg.No. 12354/06
Date: 12.10.06
Radhakrishnan
Name…………………………………………………………………
Radhanilayam
Address………………………………………………………………
Thiruvankulam
……………………………………………………………………….
Cochin , KERALA
……………………………………………………………………….
Age:
48 yrs
Sex:
M
Religion: Hindu
Occupation: Returned Gulf Employee
Diagnosis:
Attended By: Dr.S.G.BIJU
HBV Carrier
Caste: Nair
Marital Status: Married
1. Presenting Complaints:
Itching all over the body especially after bathing.
2. History of Present Illness
HBs Ag positive since the year 2000. Became Medically unfit
during medical examination.
3. History of past Illness and Treatment
Repeated vaccinations for various epidemic disease at Gulf
H/o Septic Injury Rt. Index Finger 10 years back and is partially amputated.
4. Family History
FH
M Allergy to dust
Patient
5. Personal History
Place of Birth
Religion
Education
Economical status
Marital status
Occupation
Habits
Food
Addictions
Sleep
H
H
:
:
:
:
:
:
Cochin
Hindu
ITI
Poor
Married
A/C Mechanic
:
:
:
Vegetarian
Nil
Good
6. Physical Generals
Thirst for warm water.
Sensitive to cold air
Chilly Patient
Frowning in forehead
7. Mental Features
Answering Very slowly
Speech in very soft low voice
8. Physical Examination
BP: 120/80 Weight: 58 Kg
10. Laboratory Findings
Pulse: 80/mt
HBs Ag (ELISA) – POSITIVE on 12/01/2006
PROVISIONAL DIAGNAOSIS :
HBV Carrier
DEFFERENTIAL DIAGNOSIS :
FINAL DIAGNOSIS:
HBV Carrier
A. Analysis & Evaluation of the case
Disease Symptom
Itching all over the body
Patient Symptom
Person Symptom
Thirst for warm water.
Frowning in forehead
Sensitive to cold air
especially after bathing.
Speech in very soft low
voice
Chilly Patient
Answering Very slowly
B. Miasmatic Evaluation of essential Totality:
Psora
Sycosis
Itching all over the
body especially
after bathing
Answering Very
slowly
Speech in very soft
low voice
Frowning in
forehead
Syphilis
Thirst for warm
water.
Sensitive to cold air
Chilly Patient
REPERTORISATION TABLE
1.
2.
3.
4.
5.
6.
7.
MIND - ANSWERING - slowly
MIND - FROWN, disposed to
MIND - SPEECH - low, soft voice
SKIN - ITCHING - bathing - after
GENERALS - COLD - air - agg.
GENERALS - FOOD and DRINKS - warm drinks - desire
GENERALS - HEAT - lack of vital heat
Drug-Symptom Table
1.
2.
3.
4.
5.
6.
7.
8.
MIND - CONCENTRATION - difficult
MIND - MEMORY - weakness of memory - mental exertion; for
STOMACH - PAIN - fasting agg.
ABDOMEN - INFLAMMATION - Liver - chronic
ABDOMEN - PAIN - Hypochondria
MALE GENITALIA/SEX - MASTURBATION; disposition to
MALE GENITALIA/SEX - SEXUAL DESIRE - excessive
GENERALS - EMACIATION - progressive
MANAGEMENT & TREATMENT
A.
Plan of Treatment
Constitutional Miasmatic Treatment
B.
General / Accessory
Avoid night watching
C.
Medicinal – First Prescription
BASIS OF SELECTION
Sulphur 200
(i)
(ii)
Medicine :
Miasmatic constitutional.Patient has
inherited and acquired Psoric miasm.
Potency :
200th medium potency
(iii)
Dose : 1 Dose
FOLLOW UP CRITERIA
1. MIND - ANSWERING - slowly
2. MIND - FROWN, disposed to
3. MIND - SPEECH - low, soft voice
4. SKIN - ITCHING - bathing - after
5. GENERALS - COLD - air - agg.
6. GENERALS - FOOD and DRINKS - warm drinks - desire
7. GENERALS - HEAT - lack of vital heat
FOLLOW UP
Date
1
2
12/10/06 ++ +
3
4
5
++ ++ +
6
7
++
Prescription
SUL 1M
1Dose
Sacc Lacc
19/01/06
+
+
+
+
+
>
2/11/06
+
+
+
++ +
+
19/12/06
+
+
+
>
+
>
SUL 200
1 DOSE
Sacc Lacc
9/01/06
+
+
+
>
>
>
No Medicine
Patient reported that itching relieved and he came with the Lab Report
Showing HBc Ag (ELISA) Negative. So he was advised to discontinue
treatment on 9/01/06.